COMMUNITY PROVIDER OF ENRICHMENT SERVICES, INC. (NPI# 1629210851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629210851 |
| Entity Type | Organization |
| Organization Name | COMMUNITY PROVIDER OF ENRICHMENT SERVICES, INC. |
| Other Organization Name | CPES; COUNSELING AND CONSULTING SERVICES |
| Practice Address |
14921 W Camdon Dr Casa Grande AZ 85294-7207 |
| Mailing Address |
4825 N Sabino Canyon Rd Tucson AZ 85750-6427 |
| Practice Telephone | 5208765293 |
| Practice Fax Number | 5208760298 |
| Mailing Telephone | 5208847954 |
| Mailing Fax Number | 5208840383 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-09-23 |
| Authorized Official Name | ROGER DESHAIES (CEO) |
| Authorized Official Telephone | 5208847954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH-3324 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES OFFICE OF BEHAVIORAL HEALT | BH-3324 | 01 |
| AZ | AHCCCS ID# | 456396 | 01 |
| Other Name | Type Code |
|---|---|
| CPES; Counseling and Consulting Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053695130 | Community Provider of Enrichment Services, Inc. | Community/Behavioral Health | 2002 W Calle Pacifica, Tucson, AZ 85745-2117 | 2011-10-06 |
| 1922304062 | Community Provider of Enrichment Services, Inc. | Community/Behavioral Health | 419 N Colorado St, Casa Grande, AZ 85122-5314 | 2011-02-08 |
| 1124192950 | Community Provider of Enrichment Services, Inc. | Day Training, Developmentally Disabled Services | 4805 E Speedway Blvd, Tucson, AZ 85712-4732 | 2006-11-20 |
| 1407928575 | Community Provider of Enrichment Services, Inc. | Community/Behavioral Health | 355 W 24th St, Tucson, AZ 85701 | 2006-11-14 |
| 1679645741 | Community Provider of Enrichment Services, Inc. | Community/Behavioral Health | 4873 E 12th St, Tucson, AZ 85711-3603 | 2006-11-14 |
| 1922170018 | Community Provider of Enrichment Services, Inc. | Community/Behavioral Health | 5548 N Grande Ave, Tucson, AZ 85704-2642 | 2006-11-14 |
| 1912010810 | Community Provider of Enrichment Services, Inc. | Community/Behavioral Health | 4825 N Sabino Canyon Rd, Tucson, AZ 85750-6427 | 2006-08-16 |
| 1124301726 | Community Provider of Enrichment Services, Inc. | Community/Behavioral Health | 419 N San Francisco St, Flagstaff, AZ 86001-4631 | 2011-09-21 |
| Street Address |
14921 W CAMDON DR |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85294-7207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205165313 | Jim Devenezia | Counselor | 14921 W Camdon Dr, Casa Grande, AZ 85194-7207 | 2009-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881865889 | Tom Sowash Od & Associates P C | Eyewear Supplier (Equipment, not the service) | 917 N Promenade Pkwy, Suite 101, Casa Grande, AZ 85294-5415 | 2008-03-18 |
| 1750519419 | Matthew J Schroeder | Optometrist | 917 N Promenade Pkwy, Suite 101, Casa Grande, AZ 85294-5415 | 2009-07-01 |
| 1548407760 | Tom Sowash Od & Associates PC | Optometrist | 917 N Promenade Pkwy, Ste. .101, Casa Grande, AZ 85294-5415 | 2009-01-09 |
| 1487731675 | Pinal-gila Council for Senior Citizens | Voluntary or Charitable | 8969 W Mccartney Rd, Casa Grande, AZ 85294-7432 | 2006-11-01 |
| 1508000241 | Az Health Transport LLC | Non-emergency Medical Transport (VAN) | 244 S La Amador Trl, Casa Grande, AZ 85294-8543 | 2009-04-24 |
| 1538356050 | Bill Smith Md PC | Family Medicine | 7555 N Overfield Rd, Casa Grande, AZ 85294-9101 | 2007-09-28 |
| 1255589685 | Megan Ann Miller | Speech-Language Pathologist | 1400 N Eleven Mile Corner Rd, Casa Grande, AZ 85294-9187 | 2008-08-27 |
| 1821141060 | Mary C. O'brien School | Local Education Agency (LEA) | 1400 N Eleven Mile Corner Rd, Casa Grande, AZ 85294-9187 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870411 | United Respiratory Services LLC | Durable Medical Equipment & Medical Supplies | 1275 E Florence Blvd Ste 104, Casa Grande, AZ 85122-4268 | 2020-10-29 |
| 1578162889 | Poarche' Clark | In Home Supportive Care | 1738 E Cortez Dr, Casa Grande, AZ 85122-6318 | 2020-10-19 |
| 1841898681 | Rafael Lopez | Physical Therapist | 440 N Camino Mercado, Casa Grande, AZ 85122-5749 | 2020-10-14 |
| 1366040057 | Hdp Casa Grande Dental LLC | Dentist | 1968 N Peart Rd Ste 22, Casa Grande, AZ 85122-2497 | 2020-10-14 |
| 1295342319 | Banner Sleep Centers LLC | Clinic/Center | 1828 E Florence Blvd Ste 136, Casa Grande, AZ 85122-4783 | 2020-09-24 |
| 1649880592 | Lashaun Perry | Registered Nurse | 1880 E St David Ct, Casa Grande, AZ 85122-6447 | 2020-08-05 |
| 1417565292 | Horizon Group Homes LLC | Psychiatric Residential Treatment Facility | 378 E Tropical Dr, Casa Grande, AZ 85122-5086 | 2020-07-17 |
| 1528683976 | Marie Gagne Wright | Naturopath | 958 E Rodeo Rd Ste 21, Casa Grande, AZ 85122-6455 | 2020-06-11 |
| 1013543750 | Jacquette Shineese Brown | Counselor | 1901 N Trekell Rd Ste A, Casa Grande, AZ 85122-1770 | 2020-03-13 |
| 1154956787 | The Dme Consultant | Durable Medical Equipment & Medical Supplies | 1653 E Mcmurray Blvd Ste 139, Casa Grande, AZ 85122-5934 | 2020-03-04 |
| Find all providers in CASA GRANDE | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1962915892 | Crisis Preparation and Recovery, Inc | Community/Behavioral Health | 1828 E Florence Blvd Ste 143, Casa Grande, AZ 85122-4783 | 2017-11-14 |
| 1003327594 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1821 N. Trekell Road, Suite 1, Casa Grande, AZ 85122 | 2017-10-24 |
| 1730620634 | Community Provider of Enrichment Services Inc | Community/Behavioral Health | 609 W Cottonwood Ln Ste 4, Casa Grande, AZ 85122-2248 | 2017-03-13 |
| 1659827707 | Intermountain Centers for Human Development Inc. | Community/Behavioral Health | 1821 N Trekell Rd Ste 1, Casa Grande, AZ 85122-1705 | 2016-08-29 |
| 1104285964 | Grossman & Grossman Ltd | Community/Behavioral Health | 125 N Florence St, Casa Grande, AZ 85122-4418 | 2016-02-22 |
| 1831557818 | Grossman & Grossman Ltd | Community/Behavioral Health | 123 N Florence St, Casa Grande, AZ 85122-4418 | 2016-02-04 |
| 1114315470 | Rna Property, LLC | Community/Behavioral Health | 117 E 2nd St # 2, Casa Grande, AZ 85122-5477 | 2015-01-08 |
| 1639567209 | Community Intervention Associates | Community/Behavioral Health | 1923 North Trekell Road, Casa Grande, AZ 85122 | 2015-01-05 |
| 1407257595 | Mikid Mentally Ill Kids In Distress | Community/Behavioral Health | 901 E Cottonwood Ln Ste Ab, Casa Grande, AZ 85122-2221 | 2014-09-09 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85294 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.